In-Home Support for Adults With Disabilities in Castle Hills, TX
Support at home for adults under 65 with a physical, intellectual or developmental disability, so they can live as independently as they choose. Post what you need in Castle Hills for free and hire a caregiver directly, with no agency mark-up.
Disability Care for Adults in Castle Hills, TX: the local picture
About 272 Castle Hills residents aged 18 to 64 report a disability (12%; 13% in Bexar County).
116 of them have difficulty doing errands such as shopping or visiting a doctor alone, the kind of help a support caregiver gives.
3.2% of Castle Hills households have no vehicle (6.4% in Bexar County); say in your posting if you need a caregiver who drives.
Castle Hills compared with Bexar County and Texas
| Census figure | Castle Hills | Bexar County | Texas |
|---|---|---|---|
| Residents 18 to 64 with a disability | 12% | 13% | 10% |
| Residents 18 to 64 with difficulty doing errands alone | 5.2% | 4.7% | 3.4% |
| Households with no vehicle | 3.2% | 6.4% | 5.4% |
| Residents 5+ who speak a language other than English at home | 34% | 37% | 35% |
| Residents 65+ with a disability | 34% | 40% | 35% |
| Residents 65+ below the poverty line (approx.) | 4.6% | 13% | 12% |
| Median income, households headed by someone 65+ | $64,750 | $56,300 | — |
Older residents in towns around Castle Hills
| Town | Distance | Residents 65+ | Disability (18 to 64) |
|---|---|---|---|
| Balcones Heights, TX | 3.0 mi | 339 | 21% |
| Alamo Heights, TX | 4.2 mi | 1,315 | 10.0% |
| San Antonio, TX | 4.3 mi | 198,597 | 14% |
| Shavano Park, TX | 4.7 mi | 965 | 5.2% |
| Terrell Hills, TX | 5.4 mi | 878 | 7.5% |
| Hollywood Park, TX | 5.5 mi | 596 | 6.2% |
Home health agencies serving Castle Hills
| Agency | Office | Distance | CMS quality stars | Services listed | Phone |
|---|---|---|---|---|---|
| Elara Caring | San Antonio, TX | 3.4 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, home health aides | (210) 342-9922 |
| Comprehensive Home Health Inc | San Antonio, TX | 3.4 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy | (210) 614-0200 |
| Texas Healthcare Solutions, Inc. | San Antonio, TX | 3.4 mi | 5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 877-5222 |
| Amedisys Home Health | San Antonio, TX | 1.4 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work, home health aides | (210) 558-9606 |
| Accentcare Home Health Of Texas | San Antonio, TX | 2.3 mi | 4.5 of 5 | nursing, physical therapy, occupational therapy, speech therapy, medical social work | (210) 349-7355 |
Straight-line miles from the center of Castle Hills. Medicare (CMS) data, October 2026; call ahead to confirm. We are not affiliated with these providers.
What a disability support caregiver can help with
- Personal care, on the person’s terms
- Cooking, shopping and housekeeping
- Getting to work, school, appointments and activities
- Keeping routines the person sets
What disability care for adults costs in Castle Hills
At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 19% of the $5,396 monthly median income of Castle Hills households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
Hiring directly, you agree the rate with the caregiver and usually become the household employer (U.S. Department of Labor rules). Some families qualify for programs that pay for care at home; see STAR+PLUS in Texas: using consumer directed services to pay a family caregiver.
What to know before hiring a disability support caregiver
Many state Medicaid programs let adults with disabilities direct their own care: they, or a representative, hire and supervise the caregiver.
Questions worth asking: Have you supported adults with a disability like mine (or my family member’s)? How do you support someone to do things themselves? Can you drive to work, school or day programs? More in our disability care for adults guide.
CaregiverConnect does not run background checks. Check identity, references and any certification yourself before anyone starts. The Safety Center explains how.
Disability Care for Adults in Castle Hills: common questions
How much does disability care for adults cost in Castle Hills?
At the Texas median aide wage of $11.65 an hour, 20 hours of help a week comes to about $1,010 a month in wages, which is 19% of the $5,396 monthly median income of Castle Hills households headed by someone 65 or older. Private rates are agreed directly with the caregiver, so yours may be higher or lower. Texas's minimum wage is $7.25 an hour (U.S. Department of Labor table, updated July 1, 2026).
Can an adult with a disability hire their own caregiver?
Yes. Many state Medicaid programs offer self-direction, where the person or a representative hires and supervises the caregiver. Our guide STAR+PLUS in Texas: using consumer directed services to pay a family caregiver covers Texas.
More senior care near Castle Hills
Disability Care for Adults in nearby cities
- Disability Care for Adults in Balcones Heights, TX
- Disability Care for Adults in Alamo Heights, TX
- Disability Care for Adults in San Antonio, TX
- Disability Care for Adults in Shavano Park, TX
- Disability Care for Adults in Terrell Hills, TX
- Disability Care for Adults in Hollywood Park, TX
- Disability Care for Adults in Leon Valley, TX
- Disability Care for Adults in Windcrest, TX
- Disability Care for Adults in Kirby, TX
- Disability Care for Adults in Helotes, TX
- Disability Care for Adults in Live Oak, TX
- Disability Care for Adults in Lackland AFB, TX
- Disability Care for Adults in Cross Mountain, TX
- Disability Care for Adults in Timberwood Park, TX
- Disability Care for Adults in Universal City, TX
- Disability Care for Adults in Converse, TX
Other care in Castle Hills
- Companion Care in Castle Hills
- Dementia Care in Castle Hills
- Respite Care in Castle Hills
- Live-In Caregivers in Castle Hills
- Post-Surgery Care in Castle Hills
- Senior Transportation in Castle Hills
- Home Health Aides in Castle Hills
- Nursing Assistants in Castle Hills
- Personal Care in Castle Hills
- Overnight Caregivers in Castle Hills
- 24-Hour Home Care in Castle Hills
- Mobility Assistance in Castle Hills
- Parkinson’s Care in Castle Hills
- Stroke Recovery Support in Castle Hills
- Hospice Support in Castle Hills
- Senior Meal Preparation in Castle Hills
- Senior Housekeeping in Castle Hills
- Medication Reminders in Castle Hills
- Veterans’ Home Care in Castle Hills
Sources
Census ACS 2020–2024 5-year; CMS provider data (October 25, 2026); U.S. DOL state minimum wages (July 1, 2026); BLS OEWS May 2025 aide wages, which cover employed aides rather than private rates.
Find disability care for adults in Castle Hills
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